The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
"If I stop sweating should call 911 or get to the Emergency Department quickly.”
"If this happens in the future, lying in cool water would be beneficial.”
“Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.”
"Drinking water is the best way to improve sodium intake.”
The Correct Answer is D
A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.
B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.
C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.
D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oliguria: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function. Other signs include fever, hypertension, graft tenderness, and swelling.
B. Temperature 36.1° C (97.0° F): Rejection often causes fever, not a low temperature.
C. Weight loss: Weight gain (fluid retention) is more common with rejection.
D. Insomnia: Insomnia is not a direct sign of rejection.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.
Incorrect answers:
- Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
- Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
- Osteomyelitis: Infection of the bone; not a direct risk in this scenario.
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